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Organization
PLACERVILLE INTERNAL MEDICINE INC
Active
Organization
PLACERVILLE INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN P AJUDIA M.D. (PRESIDENT)
(530) 622-9400
Entity
Organization
Contact information
Practice address
1000 FOWLER WAY, SUITE 6, PLACERVILLE, CA 95667-5738
(530) 622-9400
(530) 622-9440
Mailing address
PO BOX 587, PLACERVILLE, CA 95667-0587
(530) 622-9400
(530) 622-9440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0008X
Hepatology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
03/21/2007
Last updated
11/12/2008
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